Hi ya again. So her morning pre shot was 383. I gave her 1 unit like I have been and at 4.5 hours she is 85. I'm going to test her again at +6 to make sure she is okay for the rest of the cycle. My question is yesterday after I gave her PM shot she must have eaten too quick and threw up could that cause this drop?Nothing about this is easy, especially at the beginning. You'll get there!
That's a big drop but it's near the most likely nadir for Vetsulin. I suggest you get a +7 test to see what happens. This might be a one off drop or not - we don't know yet. Depending on a the +7 and PMPS it might be best to stay at 1 u. She's a very responsive kitty and that makes it harder to assess a dose. All the more reason not too change too much. Vetsulin + reactive kitty = lots of ups and downs.
Goodness her +6 was 134 and her +7 was 303. I do free feed her so she has eaten a few times since the +4 check.That's a big drop but it's near the most likely nadir for Vetsulin. I suggest you get a +7 test to see what happens. This might be a one off drop or not - we don't know yet. Depending on a the +7 and PMPS it might be best to stay at 1 u. She's a very responsive kitty and that makes it harder to assess a dose. All the more reason not too change too much. Vetsulin + reactive kitty = lots of ups and downs.
Interesting. Looks like an early nadir. If her food is all low carb wet food it shouldn’t have a drastic effect.
Glad to help!
I think you did the right thing. Hold that dose consistently for a few days to see what happens.
Yes - huge drop but the blue is in very safe territory. I'd try 1.25 u again tonight. Get a +2 to see what she might be planning. If it's 100+ points lower than PMPS, plan to test again at +3. Don't change dose yet unless she shows you some too low for comfort numbers.
If you get a yellow PMPS and giving 1.25 u worries you, you have the option of giving 1 u again. Varying the dose by more than 0.25 u can set the scene for more bouncing. That said, a low blue or green PS is another kettle of fish ...
So I think I figured out why her numbers were all over the place. When I wasnt home or at night when I was sleeping she was getting into our pantry and chewing into rice, barley, quinoa, etc..and eating it. I thought I had mice until I saw her one day trying to get into a bag of dried cranberries. So I blocked the cabinet and have been watching her like crazy. Her numbers seem to be improving since.
That's actually a very nice, smooth curve! Nadir at +5 is typical of Vetsulin and the low of 115 is very close to the recommended nadir range for Vetsulin of 90 to 110 or so. The high PSs are fairly typical of Vetsulin's action in many kitties. You might have room for a teeny tiny increase if you want to try what we call a "fat" 1 u. Draw up insulin to just below the 1 u mark (with the needle pointing upward) and release drops until the plunger is *just* touching the bottom of the 1 u mark. That might shift the nadir down a little lower without going too low. If you're feeling a little braver you could try 1.25 u again.
The 65 last night was a sign that 1 u is now too much and the 79 tonight is also a bit low for comfort with Vetsulin. You could try another cycle or two at 0.75 u to see if she drops low-ish again or reduce to 0.5 u tomorrow AM. If you can't get a mid day test during the week, can you get a test the minute you get home from work? A couple of daytime numbers would be helpful to have.
What would be a medium carb food? Since her numbers have been improving she has gotten a little more picky with what food she eats if she just ate. I free feed and leave food out all the time so not sure if I could get her to eat regular food at that point.
Medium carb is in the range of 11 to 13% carbs or so. You can mix some by combining your low carb and high carb food in a 50-50 ratio.
